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OFFICE USE ONLY Annual Pledge: Current YTD Balance: Entered by: Date:Health Savings Account 2017 Payroll Deduction Contribution Form Uses this form to start, stop or change contributions to your HSA

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How to fill out annual pledge

01

To fill out an annual pledge, follow these steps:

02

Obtain the annual pledge form from your employer or the organization you are making the pledge to.

03

Fill in your personal information, including your name, address, and contact details.

04

Enter the amount you wish to pledge for the year. This could be a monthly or annual commitment.

05

Specify the payment method you prefer, such as payroll deduction, direct debit, or cash/cheque.

06

Indicate if you want your pledge to remain anonymous or if you are comfortable with your name being shared.

07

Read and understand the terms and conditions, if any, associated with the pledge.

08

Sign and date the form to confirm your commitment.

09

Submit the completed form to your employer or the designated recipient.

Who needs annual pledge?

01

Annual pledge is needed by individuals who wish to make a recurring financial commitment towards a cause or organization.

02

Employers often provide annual pledge programs for their employees, encouraging them to support charities, non-profits, or other community initiatives.

03

Similarly, various organizations and campaigns rely on annual pledges to secure ongoing funding and support for their projects.

04

Anyone who wants to contribute regularly and systematically to a cause can benefit from filling out an annual pledge form.

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What is annual pledge?

Annual pledge is a commitment to donate a specific amount of money to a charity or organization on a yearly basis.

Who is required to file annual pledge?

Individuals or organizations who have pledged to donate annually are required to file annual pledge.

How to fill out annual pledge?

You can fill out annual pledge by providing your contact information, pledge amount, and payment method to the charity or organization.

What is the purpose of annual pledge?

The purpose of annual pledge is to provide consistent financial support to a charity or organization over time.

What information must be reported on annual pledge?

Information such as name, address, pledge amount, payment method, and pledge duration must be reported on annual pledge.

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